Via Lactea Wellness Inc

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

VIA LACTEA WELLNESS INC

Practice address

11137 Caminito Inocenta
San Diego, CA 92126-6109

Phone

(858) 218-6455

NPI assigned

Feb 16, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dawn Stackhouse Dickerson, M.ED, IBCLCNPI 1093088437

Title

President

Phone

(858) 218-6455

Specialties & licenses 1

Addresses

Other names 1

• Mamas and Milk Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn Stackhouse Dickerson, M.ED, IBCLC, RLC, CD

  • Lactation Consultant (Non-RN)
  • San Diego, CA
  • NPI 1093088437

  Lactation Consultant, Non-RN

  NPD Authorized official
• Anissa Nishira Cornelius, LM, CPM, IBCLC

  • Midwife
  • San Diego, CA
  • NPI 1093067274

  Lactation Consultant, Non-RN

  NPD (past)
• Carlee Elizabeth Rivera, IBCLC

  • Lactation Consultant (Non-RN)
  • Escondido, CA
  • NPI 1609509645

  Lactation Consultant, Non-RN

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1508564725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11137 CAMINITO INOCENTA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266109",
            "telephone_number": "858-218-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 CAMINITO INOCENTA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921266109",
            "telephone_number": "858-218-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5550 Carmel Mountain Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921304861",
            "country_code": "US",
            "telephone_number": "858-218-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIA LACTEA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "STACKHOUSE DICKERSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-218-6455",
        "authorized_official_credential": "M.ED, IBCLC"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mamas and Milk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Santosh Vetticaden
• Bina Vettom
• Virginia Marie Veverka
• VG Cardiac Associates, a Medical Corporation
• VI
• Via Psychology, Inc.
• Rolando Mario Viani, M.D.
• Vibra Hospital of San Diego, LLC
• Daniel Vicario, M.D.
• Holly Vicario, PT

• Lactation Consultant (Non-RN) in San Diego, CA
• Providers in San Diego, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.